Alizadeh Shiva, Ozgoli Giti, Riazi Hedyeh, Majd Hamid Alavi
Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2022 Jan 31;11:31. doi: 10.4103/jehp.jehp_298_21. eCollection 2022.
The World Health Organization recommendation requires the development and use of effective, brief, clear, and evidence-based education packages to improve health-care outcomes. No comprehensive sexual health improvement package exists for the pregnancy period in the Iranian health system. This study aimed to develop a package to promote sexual health in pregnancy.
The present study is a qualitative study, which was conducted in 2019 in Tehran, Iran. Sexual health package during pregnancy was developed based on the National Institute for Health and Clinical Excellence (NICE) steps. The first step included reviewing of international guidelines, strategies, handbooks, education packages, and articles in this regard. The package was developed in the second step. In the third step, quality assessment was performed using expert opinion with the Appraisal of Guidelines for Research and Evaluation Instrument II (AGREE II) tool, and validation was performed using Delphi method.
Package content was designed in two sections: for midwives and health-care providers and for pregnant mothers in three sessions (in each trimester of pregnancy). The quality assessment using the AGREE II guidelines revealed excellent quality (>89%). The package was validated based on expert opinion (>95%).
The sexual health promotion package during pregnancy was designed with high quality and validity based on NICE steps. It is recommended, midwives be performed this designed and validated package in routine pregnancy care to promote the couple's sexual health.
世界卫生组织的建议要求制定并使用有效、简洁、清晰且基于证据的教育套餐，以改善医疗保健成果。伊朗卫生系统中不存在针对孕期的综合性性健康改善套餐。本研究旨在制定一个促进孕期性健康的套餐。
本研究是一项定性研究，于2019年在伊朗德黑兰进行。孕期性健康套餐是根据英国国家卫生与临床优化研究所（NICE）的步骤制定的。第一步包括查阅这方面的国际指南、策略、手册、教育套餐和文章。第二步制定套餐。第三步使用专家意见并借助《研究与评价指南评估工具II》（AGREE II）工具进行质量评估，并使用德尔菲法进行验证。
套餐内容分为两个部分：面向助产士和医疗保健提供者，以及面向孕妇，分三个阶段（在孕期的每个阶段）进行。使用AGREE II指南进行的质量评估显示质量极佳（>89%）。该套餐基于专家意见进行了验证（>95%）。
孕期性健康促进套餐是基于NICE步骤高质量且有效地设计出来的。建议助产士在常规孕期护理中实施这个经过设计和验证的套餐，以促进夫妻的性健康。
